The Course and Evolution of Dialectical Behavior Therapy

Dialectical behavior therapy was originally developed from early efforts to apply standard behavior therapy to treat individuals who were highly suicidal. Its development was a trial and error effort driven primarily from clinical experience. Dialectical behavior therapy is a modular and hierarchica...

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Bibliographic Details
Published in:American journal of psychotherapy 2015-04, Vol.69 (2), p.97-110
Main Authors: Linehan, Marsha M., Wilks, Chelsey R.
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Awareness
Behavior Control
Behavior modification
Borderline Personality Disorder
Borderline Personality Disorder - psychology
Borderline Personality Disorder - therapy
Cognitive Therapy - methods
Dialectical Behavior Therapy
Emotions
Evidence-Based Treatments
Humans
Meditation
Mindfulness
Personality disorders
Psychotherapy
Skill development
Skills
Standard of Care
Suicidal Ideation
Suicide
Teaching
Theory
Therapy
Treatment Outcome
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Description
Summary:Dialectical behavior therapy was originally developed from early efforts to apply standard behavior therapy to treat individuals who were highly suicidal. Its development was a trial and error effort driven primarily from clinical experience. Dialectical behavior therapy is a modular and hierarchical treatment consisting of a combination of individual psychotherapy, group skills, training, telephone coaching, and a therapist consultation team. The inherent modularity and hierarchical structure of DBT has allowed for relative ease in adapting and applying the treatment to other populations and settings. New skills have been developed and/or modified due to clinical need and/or advancement in research such as treatment outcomes or mechanisms. There has been an effort to implement DBT skills as a standalone treatment. More research is needed to assess how DBT skills work and for whom. As DBT broadens its reach, the treatment will continue to grow and adapt to meet demands of an evolving clinical landscape.
ISSN:0002-9564
2575-6559
DOI:10.1176/appi.psychotherapy.2015.69.2.97